Provider Demographics
NPI:1225314370
Name:ST.JOHN-BEAN, SARA KAYLEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:KAYLEE
Last Name:ST.JOHN-BEAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 OLD HIGHWAY 26
Mailing Address - Street 2:
Mailing Address - City:RAGLAND
Mailing Address - State:AL
Mailing Address - Zip Code:35131-4125
Mailing Address - Country:US
Mailing Address - Phone:251-455-7340
Mailing Address - Fax:
Practice Address - Street 1:800 QUINTARD AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-5760
Practice Address - Country:US
Practice Address - Phone:256-237-6147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16791183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist